Individual
EYTAN ISRAELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
904 OAK LN, VALLEY STREAM, NY 11581-2732
(718) 200-9275
Mailing address
904 OAK LN, VALLEY STREAM, NY 11581-2732
(718) 200-9275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356255
NY
Other
Enumeration date
03/10/2025
Last updated
04/02/2025
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